Referral form

Veterinary Referral Form

This form is not for pet owners

* Indicates required field

Referring Veterinarian *

First

Last

Phone Number *

Email *

Reason for referral *

Service Requested *

Estimate Provided to the Owner *

Short Case Summary *

Upload Medical Records *

Max file size: 20MB

Additional files if needed *

Max file size: 20MB

Once referral is submitted we will reach out to the client to arrange scheduling. If the referral is urgent please call our office prior to or immediately following submission.

Submit

Cypress Lakes Animal Hospital

5490 Celebration Drive

Hope Mills, NC 28348

Call: (910) 321-7297

Text: (910) 321-7297

Points East Veterinary Emergency Hospital

AFTER HOURS EMERGENCY: (910) 864-2844

Office Hours
Monday 8:00am to 5:30pm
Tuesday 8:00am to 5:30pm
Wednesday 8:00am to 5:30pm
Thursday 8:00am to 5:30pm
Friday 8:00am to 5:30pm